Rescue strategies for refractory hypoxemia: a critical appraisal

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Rescue strategies for refractory hypoxemia: a critical appraisal

Mechanical ventilation is the most important aspect of supportive care of patients with severe acute respiratory failure. Most research directed to improving the prognosis of these patients has focused on improving support of the injured lung. In this report, current knowledge on innovative ways to manage refractory hypoxemia and ventilation without further damaging the injured lung is briefly ...

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Refractory hypoxemia is an extremely complex condition with a high morbidity-mortality rate. This clinical situation represents an advanced process encompassed within the so-called acute respiratory distress syndrome (ARDS), defined by the American-European Conference of 1994 with the purpose of reaching consensus on a series of homogeneous criteria. Acute respiratory failure (ARF) is defined o...

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Critical Appraisal

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Severe refractory hypoxemia following a gunshot injury.

We describe the case of a 57-year-old man with severe refractory hypoxemia, despite receiving ventilation therapy with 100% oxygen, following a gunshot wound to his left chest. A limited CT scan of the chest with contrast raised the suspicion of an arteriovenous (AV) fistula. Contrast-enhanced transthoracic echocardiography confirmed the presence of a pulmonary AV fistula. Traumatic pulmonary A...

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High-frequency oscillatory ventilation for rescue from refractory hypoxemia in a patient with transfusion-related acute lung injury.

Transfusion-related acute lung injury is a serious complication of blood transfusions. Herein is a report on a 32-year-old woman who developed diffuse pulmonary infiltrates and acute respiratory compromise after blood transfusion. Non-cardiogenic pulmonary edema was diagnosed based on data calculated by the hemodynamic monitoring system, but severe hypoxemia persisted despite conventional pres...

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ژورنال

عنوان ژورنال: F1000 Medicine Reports

سال: 2009

ISSN: 1757-5931

DOI: 10.3410/m1-91